Valley Potential Physician Guide

PROSPECTIVE PHYSICIAN GUIDE

HOW VALLEY BEGANIn 2008. two Utah County OB/GYN practices joined together to increase economies of scale.PROVO LIND A growing number of U.S.OB/GYN LAMOREAUX doctors are leaving private CLINIC MELENDEZ & practice for hospital AAGARD employment and only one-in-three will remain independent by the end of 2016.

VALLEY Valley Groups have privileges at 6TODAY hospitals as well as manage the in-house OB coverage for Utah Valley Regional Medical Center and Timpanogos Hospitals.Valley has grown to 8 groups with 45 providers and 9 locations throughoutUtah stretching from the point-of-the-mountain down to St. George. LIND AMERICAN FORK OB/GYN GROUP LAMOREAUX MELENDEZ & LAMOREAUX, MELENDEZ, AAGARD, OLLERTON, BEAN, JONES AAGARD O ce Locations: American Fork, Lehi, Saratoga Springs PROVO OB/GYN PROVO OB/GYN GROUP CLINIC DR. NANCE THORPE, REES, JACOB, BROBERG, WOLSEY, DREWES, BENNETT, DABLING DR. ANDERSON O ce Locations: Provo, Orem NEW SPRINGVILLE OB/GYN GROUP BEGINNINGS NANCE & NANCE MIDWIFE O ce Locations: Springville PAYSON OB/GYN GROUP SOUTHERN ANDERSON UTAH O ce Locations: Payson OREM MIDWIFE GROUPWOMEN’S HEALTH SCHLEGELMILCH, COOK. MORRIS, STUCK DR. SARAH O ce Locations: Provo, Orem ANDREWS ST. GEORGE OB/GYN GROUP AF MIDWIVES ASTLE, BENHAM, BROWN, WINWARD O ce Locations: Provo, Orem PROVO WOMEN’S HEALTH & OB GROUP ANDREWS O ce Locations: Provo AMERICAN FORK MIDWIFE GROUP KILLEBREW, SEAMONS, KREBS, NELSON, HARMER, JENSEN, CHRISTENSEN O ce Locations: Provo

VALLEY’SOBJECTIVES 1 Allow groups and their providers to remain independent and have a say in their practice direction and sustainability. Provide premiere healthcare services to women with an2emphasis on patient experience. 3 Create the ability to compete with larger hospital-owned and multi-speciality group-owned women’s health practices in today’s changing marketplace.

WVHAYLJLOEYIN?CORPORATE MANAGE TECHNOLOGY PATIENTSTRUCTURE UNCMEARRTAKIENTTIES FOCUS EXPERIENCE

CORPORATESTRUCTUREIn an attempt to take advance of the benefits of economies of scale while maintaining autonomy withineach practice group, Valley is structured in a unique way. Each group is individually set up to receive allthe revenue and expenses associated with running that practice. Management agreements are createdwithin each group to maintain their structure for compensating physicians (salaries, dividends, buyins/buy outs, etc.). Within Valley, each group is then managed as a profit center. This retains the valuewithin each group for the work and services they provide. Valley also has a variety of shared services thathelp reduce costs. These services are provided a-la-carte to allow each group to decide how heavy orlight they want their overhead expenses to be. Valley also attempts to keep its administrative overheadlow by charging a fixed fee to each group on a per partner provider basis versus a percentage of revenuefee which can easily result in increased costs without added benefit. MARKETUNCERTAINTIES “One of the best things about being a part of Obamacare, Accountable Care Organization, Valley OB/GYN is that it Patient-Centered Medical Home, and Shared Savings are just some of the new practices, allows me to do what I do best: see patients. ideas and policies that have entered our market place over the last few years. The management structure at Valley OB/GYN Determining how to navigate through theseallows me to concentrate on just being a doctor. changes is time-consuming and di cult. Valley has the resources to stay on top of They take care of personnel issues, payroll, these market changes as well as deviseo ce management and other issues that I would strategies to ensure that each group is proactively addressing each new change and frankly rather not deal with.” opportunity. Providers and o ce sta barely have enough time to manage patient flow and - Dr. Je orey Thorpe, M.D., CMO care. Having a management structure that can lead your practice into the new world of healthcare is essential. In addition to managing market situations, Valley maintains relationships to ensure we are part of the process for changes in the future. Most recently, Valley successfully negotiated contracts with hospitals to provide services that are not only necessary for community health but beneficial to the success of providers and groups within Valley.

TECHNOFOLOCGUYSThe healthcare world has seen an explosion of technology over the past few years especially with theintroduction of electronic medical record and programs like Meaningful Use designed to accelerate EMRadoption. Valley provides the much-needed resources to ensure that existing and new technologies arebeing evaluated and adopted in order to benefit a variety of areas of a practice. These areas include patientcommunication and education, cost reduction and data driven analysis for process and systemimprovements, intero ce communication, telemedicine, and EMR use and management. Valley believestechnology will provide a vital role in managing costs and competing with larger organizations that havelarger resources particularly as the concern over reduced reimbursements continues to grow. With the uncertainty of markets, revenues declining and expenses increases it’s imperative that private practices enhance their patient experience utilizing technologies. - Adam Rasmussen, CEOEPAXTPIEERNITENCE At Valley, we believe it is the ability to provide the best patient experience that will allow practices and providers to not only survive but thrive in an ever-changing market. This requires every aspect of the business including people, processes and systems working together with the same end result in mind. For this reason, Valley strives to find great providers to participate with us in achieving and sustaining this mission. Our continued focus for improvement with our patient experience has been an advantage for us and we continue to work to improve in every aspect of this goal. As a group within Valley, your practice, employees and patients can benefit from the programs, systems and processes Valley has established.

For more information, please contact: Adam Rasmussen, CEO [email protected]